shoulder overuse injury, Biceps Tendon Injury

Question 1

(1) Injury ranges from mild ______ to rupture
(2) Occurs most commonly along long head of _____

Answer 1

1) tendinopathy
2) biceps tendon

Question 2

Bicep tendon injury
More common in people who do what?
examples
(1) Rock climbers, weight lifters
(2) Degenerative tendinopathy of the tendon in older patients

Answer 2

pull, lift, reach, or throw for work/recreation

Question 3

_______ would be suspected if there was a single injury (a “pop”) with ecchymosis and swelling

Answer 3

Tendon rupture

Question 4

Dx/Tx
Clinical presentation with anterior shoulder pain that radiates distally down the arm over bicep muscle
(1) Aggravated by lifting, pulling, overhead activity
Physical exam
-(1) Visual
—(a) Shoulder will appear normal on inspection typically
-(2) Neurovascular status
—(a) Neurovascular intact
-(3) Palpation
—(a) Tender to palpation in the bicipital groove of the humerus
-(4) Special tests
—(a) Speeds

Answer 4

Biceps Tendon Injury
(1) Mainstay of treatment:
(a) NSAIDs
(b) Ice
(c) Duty/activity modification
(d) Physical therapy/HEP
(2) If rupture is suspected then ortho consult